Lopez Island Physical Therapy LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

LOPEZ ISLAND PHYSICAL THERAPY LLC

Practice address

192 Lopez Rd
Lopez Island, WA 98261-8290

Phone

(360) 468-4382

Fax

(360) 468-2193

NPI assigned

Aug 1, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Christina J McCrea

Title

Authorized Official Administrator

Phone

(360) 468-4382

Specialties & licenses 1

Addresses

Other names 2

• Lopez Island Physical Therapy LLC Doing business as
• Lopez Island Physical Therapy, LLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jonathan Scott Allred, DPT

  • Orthopedic Physical Therapist
  • Spokane, WA
  • NPI 1376071878
  Medicare reassignment Care Compare group NPD
• Sarah Ellis

  • Physical Therapist
  • Plymouth, MI
  • NPI 1093582280

  WA

  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1501545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721865600000",
    "number": "1982128880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 881",
            "city": "LOPEZ ISLAND",
            "state": "WA",
            "postal_code": "982610881",
            "telephone_number": "360-468-2245",
            "fax_number": "360-468-2193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "192 LOPEZ RD",
            "city": "LOPEZ ISLAND",
            "state": "WA",
            "postal_code": "982618290",
            "telephone_number": "360-468-4382",
            "fax_number": "360-468-2193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOPEZ ISLAND PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-01",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A",
        "authorized_official_last_name": "MCCREA",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL ADMINISTRATOR",
        "authorized_official_telephone_number": "360-468-4382"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lopez Island Physical Therapy LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lopez Island Physical Therapy, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• George Eldridge Keeler III, M.D.
• Diane Rose Letchworth, LMFT
• Paul Randall Lewis, PAUL LEWIS
• Lopez Acupuncture @ Integrated Health
• Lopez Acupuncture & Integrated Health
• Lopez Island School District
• Margaret A McCoy, R.PH.
• Richard C McCoy Jr., R.PH.
• Arielle Faridha Mow, L.AC., EAMP
• Wendy L Murphy

• Physical Medicine & Rehabilitation Physician in Lopez Island, WA
• Providers in Lopez Island, WA by specialty
• Physical Medicine & Rehabilitation Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.